Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $316.23	Facility		$97.72	$173.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $223.87	Professional		$87.10	$107.15	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $1,174.90	Facility		$295.12	$549.54	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $676.08	Facility		$81.28	$194.98	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $251.19	Professional		$91.20	$158.49	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $776.25	Professional		$104.71	$177.83	$776.25
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $134.90	Professional		$123.03	$125.89	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $338.84 / $1,071.52	Facility		$134.90	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $213.80	Professional		$109.65	$147.91	$213.80